Upper lip is longer, numb and cannot move after tip plasty and alarplasty. Any suggestions?

Question

I had tip plasty and alarplasty 10 days ago. The swelling has gone down a little and I see the shape. I am happy with how it is turning out. However, my face looks weird because my upper lip appears longer. It is also numb and I cannot move it. I look like I have an overbite, especially my profile. Certain words are also hard to say. Is this normal? When should I expect it to look like before?

John Layke, DO, FACS · Answer

It is far too early to judge results, and the swelling/stiffness of the upper lip is expected for the first few weeks after rhinoplasty.  Relay your concerns to your surgeon who will be able to provide a timeline of healing and reassure your progress.  Best wishes!

Robert S. Schmidt, MD · Answer

Thanks for your question. I'm happy your nose is doing well. You are having difficulty with your lip because your surgeon probably divided the depressor septi nasi muscle. It's a tiny muscle that in some people either pulls the nose down when you smile or pulls the upper lip up at the same time. This happens a lot in rhinoplasty surgery, but surprisingly few patients actually notice and mention it- only one comes to mind in my practice. It should definitely improve with time. Enjoy your nose!

Pouria Moradi, MBBS, FRACS · Answer

Thanks for the enquiry.Only your surgeon will know what he/she did during your surgery.Having said that 10 days is still very early days.If your surgeon released the depressor septi muscle this could explain the symptoms you have.It usually resolves.I hope this helps and good luck.

Upper lip is longer, numb and cannot move after tip plasty and alarplasty. Any suggestions?

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Upper lip is longer, numb and cannot move after tip plasty and alarplasty. Any suggestions?

Answers (3)

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Recommended reading

Everything you need to know about Alarplasty

Our mission is to create a world where every investment in modern beauty is Worth It.